Organization
ACK-TEN GROUP LLC
Active
Other names
SEACREST MRI OF DELRAY BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN LITTEN (PRESIDENT CEO)
(561) 739-9674
Entity
Organization
Contact information
Practice address
4800 LINTON BLVD, SUITE A203, DELRAY BEACH, FL 33445-6584
(561) 739-9674
(561) 739-9688
Mailing address
2828 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7944
(561) 739-9674
(561) 739-9688
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3135
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/20/2006
Last updated
09/19/2012
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